99173
HCPCS Procedure Code
HCPCS code 99173 is the #756 most-billed Medicaid procedure code, with $87.7M in payments across 31.9M claims from 2018–2024. The national median cost per claim is $2.16. Costs vary widely — the 90th percentile is $8.57 per claim, 4.0× the median.
Total Paid
$87.7M
0.01% of all spending
Total Claims
31.9M
Providers
16K
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for 99173? Based on 12K providers billing this code nationally.
Median
$2.16
Average
$4.49
Std Dev
$11.74
Max
$439.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.69 and $4.27 per claim for this code.
90% bill between $0.07 and $8.57.
Top 1% bill above $36.85.
About This Procedure
HCPCS code 99173 was billed by 16K providers across 31.9M claims, totaling $87.7M in Medicaid payments from 2018–2024. This code was used for 29.1M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.16
Providers Billing
12K
National Spending
$87.7M
Avg/Median Ratio
2.08×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 99173
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Board Of Education Of The City Of Chicago Chicago, IL · Local Education Agency (LEA) | $1.8M |
| 2 | 1518963230 | $1.1M |
| 3 | 1326695255 | $902K |
| 4 | Bronxcare Health System Bronx, NY · General Acute Care Hospital | $856K |
| 5 | 1609923671 | $804K |
| 6 | 1568576056 | $781K |
| 7 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $762K |
| 8 | 1124053210 | $759K |
| 9 | Children's Hospital Corporation Boston, MA · Clinic/Center | $647K |
| 10 | 1114932514 | $589K |
| 11 | Jamaica Hospital Richmond Hill, NY · General Acute Care Hospital | $519K |
| 12 | Medical Associates Of Ebnhc East Boston, MA · Clinic/Center, Community Health | $425K |
| 13 | 1588730360 | $418K |
| 14 | 1235182221 | $404K |
| 15 | 1831209873 | $401K |
| 16 | 1376508788 | $368K |
| 17 | 1306898960 | $359K |
| 18 | 1922164656 | $352K |
| 19 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $352K |
| 20 | 1295953784 | $342K |
Showing top 20 of 16K providers billing this code